992 (44 USC 2107 Note). Caset: Mw
9613 Date: (3-18-20

© OD

Date
Page

JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

01/14/98
1

AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE. NUMBER

AGENCY INFORMATION

INSCOM/CSF

194-10003-10336
INTELLIGENCE/COUNTERINTELLIGENCE SOURCES
PAGES 4-5

ORIGINATOR
FROM

TO

‘TITLE
DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION

- RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

DOCUMENT INFORMATION

:, USA

59TH ORD GP

USA ADVANCED WEAPONS SUPPORT COMD
[ RESTRICTED ]

11/17/71

3 .

KACZMARCYYK, GEORGE .,

RESULTS OF NATIONAL AGENCY CHECK

PAPER, TEXTUAL DOCUMENT
UNCLASSIFIED

3

RELEASED WITH DELETIONS
03/09/95

NW 88613 Docid:34529119 Page 1

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mz:

a _ 7 | | oY “ imcduan a -_ os aa

[Naec Use Only ™ i DEPARTMENT Qf DEFENSE [REQUEST | eA

"NATIONAL AGENCY CHECK REQUEST~~ wane | 16

1. LAST NAME - FIRST NAME - MIDDLE NAME
KACZMARCZYK, Edward NMN ‘ a :
3, ALIAS(ES) AND ALL FORMER NAME(S) ; 4 SOCIAR SECURITY NUMBER

NONE § Heh Qh 1685

Mol mnany ™
C) eivitan

RETURN Commanding. Officer (CJ INDUSTRIAL

RESULTS ec
TO: d Weapons Suppert Command b

(Include ZIP ATEN: tri ence Eranch . [oy LOCAL FILEs CHECKED
Code) ety MEY OuIoo | WITH FAVORABLE RESULTS

c INITIATOR OF REQUEST

ACCT 6124 fOOmmanding Officer
HC , ar Ord Gp

> re a
@ FATHER TZ wLOTE

KACZMARCZYK, Josef npol, i 1g a Polish

iy MOTHER (Full Maiden Name) 19 Mar we sf Cass :

TWANOWA, ri Alexand Qsi _ Polish

¢. EMPLOYER
Unemployed

ce NAME

Wilson Jr HS #12

rame

ix || 6, Has the subject any foreign connections, employmentg

:
[x |_| ¢__Has the subject travelled or resided abroad other th

PRE-COMMISSION

rx {| e. Is the subject now or has he ever been in the Federal’€

mE £ Has the subject qualified DD Form 398, 98, 48-1, or similar security form? see
ESI & Has the subject ever been addicted to drugs? eae, esa

18. REMARKS uf additional space is needed, continue on plain paper.)
ITEM #13. . sep 71 — present, OPR, Pirmasens, ermany
fou

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a

pT EGF | L

Wie er had
rome

ITEM #8a. & 8b. “ 4
Josef Kaczmarczyk, DPOE: 2 Nov 6¢, NYC, NY, Alien reg. #A79064415
Dorota’ iWanowa Kacemarczyk, DPOE: 2 Nov 64, NYC, NY, Alien reg # A796L416
continued

: — es - - vee
DD 4 Dao ae 1584 . REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE ¥ GPO: 1967 0 279-094 1

| :

NW 88613 Docid:345291189 Page 2

’

we ; y
DD FORM 15é) - continu{ KACZMARCEYK, Edward MMN, DPC \ Aug 06, 47, Bomblitz,
West Germany, SSAN: 143740 ‘4685 ‘

ry
cITEM #15a. Subject was naturalized on 2h Oct 69 in US District Court, Honolulu,
Hawai. Naburalization No: 9271178

TTEM 15b. , .
Uncle, Stanley Kaczmarezyk, age 66, Sluchowo, Poland
Aunt, Ann Artabolowska , age 67, Charkow, USSR

Aunt, Eshenia Hitriowa , age unk, Charkow, USSR

Stepbrother Wladimir Twanow » age unk, Charkov, USSR

TPEM 15c.

Subject imsigrated to United States with parents on 25 Nov 50, From 19 Dee 55
until 2 Nov 60 traveled through USSR and Poland visiting family. Detained

in USSR for 9 months before exit was permitted, Subject left Foland with family
on 16 Apr 57 to return to United States, Femily (including subject) was held ~
over in Hamburg, West Germany, awaiting sponsorship to return to United States,

While in Germany, subject visited Luton, Bedfordshire, Englarid, fron 17 Deo 58 |
until 12 Mar 59, o

bets

Subject re-entered the United States on 2 Nov 60, Nyc, WY, for purpose of

legal residence.

és

Subject also visited Ganade from 6 Aug 63 - 12 Aug 63.

{TEM 15e. i
Active duty, US Army, £5, Dec 64 - Mar 70, Aug 70 to present.

an
a3?
Ree

NW 88613 Docid:3452971189 Page 3

